| Larry W White Orthodontics Ltd | |
|
701 N Hampton Rd Desoto TX 75115-4509 | |
| (972) 230-0155 | |
| (972) 230-0742 |
| Full Name | Larry W White Orthodontics Ltd |
|---|---|
| Speciality | Dentist |
| Location | 701 N Hampton Rd, Desoto, Texas |
| Authorized Official Name and Position | Larry W White (DR) |
| Authorized Official Contact | 9722300155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W White Orthodontics Ltd 701 N Hampton Rd De Soto TX 75115 Ph: (972) 230-0155 | Larry W White Orthodontics Ltd 701 N Hampton Rd Desoto TX 75115-4509 Ph: (972) 230-0155 |
| NPI Number | 1548336282 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548336282 | NPI | - | NPPES |
| 007835402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6768TEXAS (* (Not Available)) | Primary |
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